Abstract: The present disclosure relates to repair devices configured for use in fixing or approximating tissues, such as cardiac valve tissues and particularly the leaflets of a regurgitant mitral valve. The repair device includes a shaft, a pair of proximal elements pivotally coupled to the shaft and extending from the shaft, and a pair of distal elements pivotally coupled to the shaft and extending from the shaft. The proximal and distal elements are configured so that targeted tissue can be grasped therebetween. The distal elements and/or the proximal elements include adjustable arms that can be extended and retracted to adjust the length of the gripping elements to provide more effective grasping of targeted tissues.

Abstract: A surgical system includes at least one input coupler configured to receive an input, an end effector assembly, and an actuation assembly operably coupled between the at least one input coupler and the end effector assembly such that, in response receipt of the input by the at least one input coupler, the end effector assembly is manipulated. The system further includes a storage device storing setting information and adjustment information. The setting information enables determination of a first input to the at least one input coupler to achieve a desired manipulation of the end effector assembly. The adjustment information enables adjustment of the setting information for determination of a second input, different from the first input, to the at least one input coupler to achieve the desired manipulation of the end effector assembly.

Abstract: Micro-valve system includes two or more superimposed tubes and a pressing device for fluid control in miniaturized capillary connections. The micro-valve system and method of fabrication can be tailored to the requirements of a wide range of applications; composition, sturdiness and thickness of plastic tubes; and capable of been adapted to the resilient of mechanical pressure and the passing and transport of fluid types.

Abstract: Provided is a forceps driving apparatus including a body, a gripper installed to be received in the body and formed to be open and closed, an opening and closing member rotatably installed in the body to press or release two sides of the gripper by rotation, an elastic member connected to one side of the opening and closing member to provide an elastic force to the opening and closing member, an actuator connected to the other side of the opening and closing member to rotate the opening and closing member by contraction or extension, and a force sensing module to measure a gripping force of the gripper during the rotation of the opening and closing member.

Abstract: A surgical instrument with a rotatable and articulatable end effector. The end effector includes first and second jaws that are movable between an open position and a closed position by an axially movable drive member. The end effector is coupled to an elongate shaft such that the end effector is rotatable relative to the shaft about a shaft axis when the drive member is rotated. A releasable lock system is provided to selectively lock the end effector in a desired rotary position.

Abstract: Forceps including a housing, a first body, a second body and a drive shaft. The first body has a passageway extending therethrough. The drive shaft extending through the passageway and connected to the first body such that the first body and the drive shaft are slidable with respect to the housing to drive jaws located at a distal portion of the drive shaft between an open position and a closed position. The second body having a second passageway. The drive shaft extending through the second passageway such that the second body is guided by the drive shaft and is slidable relative to the first body and the drive shaft to displace a blade shaft between a retracted position and an extended position.

Abstract: A medical instrument comprising: (A) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in an X-Y plane; (B) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a Y-Z plane perpendicular to the X-Y plane; and, (C) a controller operatively coupled to the first joint and the second joint, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member.

Abstract: An electrosurgical instrument is provided that captures, compresses, fuses and cuts tissue between upper and lower jaws connected to pivotably movable handles. The instrument includes a force and over compression regulation mechanism that is configured such that in a clamped configuration, the jaws delivers a gripping force between the first jaw and the second jaw between a predetermined minimum force and a predetermined maximum force.

Abstract: Surgical instruments and assemblies for sealing and cutting tissue monitor jaw angle and/or jaw clamping force to provide feedback to an operator of the surgical instrument indicative of whether the tissue is suitable clamped for sealing and/or cutting. A surgical instrument or assembly includes a jaw operable to clamp tissue, a sealing mechanism, a cutting mechanism, an actuation monitoring assembly, and a feedback assembly. The actuation monitoring assembly monitors jaw angle and/or clamping force. The feedback assembly outputs feedback to the operator, based on the jaw angle and/or clamping force, as to whether the current clamping angle and/or jaw angle is suitable for sealing and/or clamping tissue.

Abstract: A fibrocartilage suturing device is provided to solve the problem where the conventional procedure of the surgery is inconvenient. The fibrocartilage suturing device includes a tube assembly, a tubular member, and an anchor. The tube assembly extends through the tube assembly and includes an insertion section. The movement member is coupled with the tube assembly and includes a thrust rod extending through the tubular member. The anchor is located at one end of the thrust rod and includes a body and at least two wings connected to the body is able to be folded and unfolded relative to the body. The body of the anchor is connected to an end of a thread. Another end of the thread is connected to the tubular member.

Abstract: A surgical instrument includes a housing, a movable handle, a trigger, a drive assembly operably coupled between the movable handle and an end effector assembly such that movement of the movable handle from an initial position to a compressed position manipulates the end effector assembly, and a linkage operably coupled between the trigger and a knife such that movement of the trigger from an un-actuated position to an actuated position rotates the linkage to deploy the knife relative to the end effector assembly. A drive housing of the drive assembly inhibits rotation of the linkage when the movable handle is disposed in the initial position and the trigger is disposed in the un-actuated position. The drive housing cams along a surface of the linkage to urge the linkage to rotate when the movable handle is returned towards the initial position, thereby returning the trigger towards the un-actuated position.

Abstract: Medical devices and methods of using medical devices are disclosed. An example tissue engagement device includes a first actuation member including a body coupled to a first jaw and a second jaw at a pivot point, wherein the body is designed to shift between a first configuration and a first compressed configuration and a second actuation member coupled to the first actuation member at the pivot point and at a fixation point, wherein the second actuation member is designed to shift between a second configuration and a second compressed configuration. Further, shifting the first actuation member from the first configuration to the first compressed configuration, shifting the second actuation member from the second configuration to the second compressed configuration, or both, shifts the first jaw and the second jaw between a closed configuration and an open configuration.

Abstract: A surgical end effector includes an anvil assembly; a cartridge assembly including a plurality of fasteners; a drive assembly movable longitudinally to approximate the anvil assembly relative to the cartridge assembly; and a strain gauge circuit disposed within the cartridge assembly, the strain gauge circuit configured to measure a strain imparted on the cartridge assembly by the drive assembly.

Abstract: A bending mechanism includes: an elongated support member; a swivel that is supported at a distal end of the support member so as to swivel around an axis that intersects a longitudinal axis of the support member; a transmitter that are arranged along the longitudinal axis of the support member, transmits a driving force applied at a proximal end thereof, and makes the swivel swivel relative to the support member; and a regulator that regulates stress generated in the transmitter at each swivel position of the swivel with respect to the support member such that the stress does not exceed a prescribed threshold.

Abstract: A surgical end effector is provided having upper and lower jaws pivotally coupled to one another by at least one connecting member that is configured to allow a gap between the jaws to be set at a desired height. In one embodiment, the connecting member can be pivotably coupled to the upper jaw and fixed within a slot in the lower jaw. The connecting member can be fixed within the slot in one of multiple positions so as to position first and second tissue contacting surfaces of the upper and lower jaws at a predetermined distance from one another when the first and second jaws are in the closed position. The connecting member can include a pin formed thereon that extends into a bore formed in the upper jaw. Alternatively, the upper jaw can include a pin formed thereon that extends into a bore formed in the connecting member.

Abstract: The disclosed technology is directed to a rotating mechanism for a treatment tool or grasping forceps which comprises a rotating member having respective first and second ends. The first end is supported on a distal end of an elongated member for rotation about a longitudinal axis of the elongated member. The grasping forceps is attached to the second end of the rotating member. An axial force transmitting member is configured to be disposed along the elongated member for transmitting axial forces. An actuating member is attached to a distal end of the axial force transmitting member. A converting mechanism is used for converting the linear movement to the rotary movement of the actuating member along the longitudinal axis. The linear movement of the actuating member is not transmitted to the rotating member and the rotary movement of the actuating member about the longitudinal axis is transmitted to the rotating member.

Abstract: A blood filter extraction system for extracting a blood filter from within a blood vessel. The system includes an extraction wire, or plurality of such wires, positioned within an elongated tubular member. A plurality of extraction wires coupled to the distal end of the extraction member each include a hook for engaging filter members. Alternatively, the extraction wires may be one or more wires configured in a helical shape which engage filter members when the extraction member is rotated. The system may also include an elongated tubular member with the distal end having a conical shape. To extract a filter, the extraction wires are then pushed out of the tubular member and into the filter members. The extraction member is then withdrawn or rotated so the wires engage and draw in the filter members, after which the catheter is pushed over the conical portion of the tubular member.

Abstract: An articulation assembly (200) for use with a surgical instrument (100) is provided. The articulation assembly (200) includes a plurality of joints (260), a plurality of cables (240), and a first drive member (220). Each joint (260) defines a plurality of openings (262) extending longitudinally therethrough, a central opening (263) extending longitudinally therethrough, a pair of projections (268) extending from a first surface, and a pair of grooves (266) extending at least partially through a second surface. Each groove (266) of at least one joint (260) is configured to engage one projection (268) of the pair of projections (268) from an adjacent joint (260). Each cable (240) extends through one opening (262) of the plurality of openings (262) of each joint (260). The first drive member (220) extends through the central opening (263) of each joint (260).

Abstract: Described herein are mechanical inverting tube apparatuses that may be used to remove clot (e.g., thrombectomy), the apparatuses including an inversion support catheter having an expandable funnel-shaped distal end, and a flexible tube that can be continuously rolled over the funnel-shaped distal end and invert into the inner lumen of the inversion support catheter.

Abstract: An apparatus comprises a first jaw, a second jaw, a first handle, and a second handle. The second jaw is pivotally coupled with the first jaw. The first jaw and the second jaw are configured to grasp tissue. The jaws provide offset electrode surfaces that are operable to deliver bipolar RF energy to tissue grasped between the jaws. The apparatus is further operable to sever tissue. A lockout feature selectively prevents tissue severing, based on an energization state of the jaws.

Abstract: A vascular prosthesis deployment device and related methods are disclosed. In some embodiments the deployment device may include a delivery catheter assembly. The delivery catheter assembly may include a pliant member, wherein the pliant member is configured receive a vascular prosthesis. The pliant member may also be configured to aid in incrementally deploying a vascular prosthesis.

Abstract: A needlescopic scissors end effector assembly includes a pair of jaws or blades pivotable to perform a cutting or shearing operation. The scissors end effector assembly includes a cannula having a diameter between about 1 mm to 5 mm and a needle tip configured for percutaneous operation. The pair of jaws or blades includes cam profile surfaces to interact with an opening defined with the needle tip to actuate opening and closing of the pair of jaws or blades and to prevent backlash effect during the opening and closing of the pair of jaws or blades.

Abstract: An ophthalmic surgical instrument for fragmenting the lens nucleus of an eye, and method of use thereof. The instrument includes an elongated handle portion, a tubular head portion at the handle portion distal end, at least three prongs with cutting tips, and a holding ring. The prongs are selectively retractable into and deployable from the head portion. The holding ring selectively contracts and expands to adjust the deployment width of the prongs. The instrument is inserted toward the eye lens through a corneal incision, while the head portion is opened to deploy the prongs to slide over and grasp onto the lens nucleus at a posterior position thereof. The instrument is then withdrawn toward the eye lens anterior while the head portion is closed to retract the prongs, such that the prong cutting tips cut along the lens nucleus, so as to fragment the lens nucleus into multiple segments.

Abstract: Vascular delivery systems configured to deliver an implant to a location within a vasculature can include one or more control wires controllable by a user to detach the implant from the delivery system. Control wires can cause a feature of the delivery system to mechanically engage a hub at a proximal end of an implant. Proximal or distal movement of the control wire can allow the feature to disengage from the hub, thereby allowing release of the implant.

Abstract: A handle for delivering, from a distal end of a catheter, a stent positioned within a sheath. The handle comprises an upper rack fixed to the handle and an upper distal block moveable along the upper rack and defining a pawl configured to permit only proximal movement in relation to the upper rack, further including an upper proximal block moveable along the upper rack and defining a pawl configured to permit only proximal movement in relation to the upper rack. The handle includes a lower rack configured to slide proximally and, alternatingly, distally in relation to the handle.

Abstract: An overstroke mechanism for use with a surgical instrument includes an overstroke sleeve, an overstroke biasing element, a spindle, an outer shaft, and an overstroke pin. A first condition of the overstroke mechanism is configured to prevent a predetermined closure force from acting on the jaw members of the surgical instrument when a stroke is provided by a handle assembly of the surgical instrument that is greater than the predetermined closure force. A second condition of the overstroke mechanism is configured to prevent a further predetermined closure force from acting on the jaw members of the surgical instrument when the jaw members are approximated on an obstruction.

Abstract: A forceps is provided and includes a housing having a shaft. An end effector assembly operatively connects to a distal end of the shaft and includes a pair of first and second jaw members. One or both of the first and second jaw members is movable relative to the other jaw member from a clamping position to an open position. A resilient member operably couples to at least one of the first and second jaw members. The resilient member is configured to bias the first and second jaw members in the clamping position and provide a closure force on tissue disposed therebetween.

Abstract: User interface devices are disclosed. The device can include a body that can be held in a user's hand. The body has an outer surface that can be gripped by fingers of the user's hand to facilitate translation and rotation of the body by the user's hand. The device can include one or snore sensors disposed within the body. In some embodiments, the one or more sensor can provide one or both of position and orientation information of the body to a control system. The body can provide feedback to the user via the exterior surface of the body that is gripped by the user's fingers and/or can receive control inputs from the user via one or more of translation of the body, rotation of the body, pressing of the outer surface with the user's fingers, and changing of the angular orientation of the longitudinal axis of the body. Methods of using a user interface device are also provided.

Abstract: An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft having a proximal shaft section and an articulating distal shaft section extending from the housing, a firing system disposed within the housing, an actuator that is engageable for commencing a firing cycle of the firing system, and an articulation lever provided on the housing for selectively articulating the articulating distal shaft section of the elongated shaft. The applicator instrument includes a cam plate disposed within the housing that is linked with the articulating distal shaft section and that coupled with the articulation lever for being rotated by the articulation lever between a first or horizontal position for straightening the articulating distal shaft section and a second or vertical position for articulating the articulating distal shaft section.

Abstract: An articulation device for a medical instrument includes a coupling for releasable mechanical connection of the articulation device to a tool or to the distal end of a shaft, a locking device on the coupling for locking the mechanical connection, and an articulation, which enables the coupling to be angled relative to an end of the articulation device remote from the coupling. The locking device is designed such that the mechanical connection is locked in a predetermined working angular position of the articulation and is releasable in a predetermined release angular position of the articulation.

Abstract: Disclosed are a fusion cage for a spinal surgery and a clamping device thereof. The fusion cage comprises a fusion cage body (1) and a triangular screw plate (2). A limiting groove (12) fit with the clamping device is provided at a rear end surface of the fusion cage body (1), the fusion cage body (1) is hinged with the screw plate (2), and each of three corners of the screw plate (2) is provided with a screw hole (23). The clamping device comprises two clamping rods (4) which are fit with each other, and a front end of each clamping rod (4) is provided with a clamping head (41), wherein each of face-to-face sides of the clamping heads (41) is provided with a limiting protrusion (42), a front end of each clamping head (41) is capable of being inserted into the limiting groove (12) of the fusion cage body (1), and the limiting protrusion (42) is capable of being clamped at a front side surface of the screw plate (2).

Abstract: A surgical instrument is provided. The surgical instrument includes: a test end effector including a test jaw assembly having a pair of jaws configured to clamp about tissue and at least one sensor configured to measure at least one tissue property; and a handle assembly configured to couple to the treatment end effector. The handle assembly includes: a drive assembly; a motor operatively coupled to the drive assembly; and a controller operatively coupled to the motor, the controller configured to control operation of the motor to actuate the test end effector to measure the at least one tissue property and to determine, based on the at least one tissue property, at least one suitable treatment end effector.

Abstract: A surgical forceps includes a housing having a movable handle coupled thereto and movable between an initial position and a compressed position. A drive bar is operably coupled to the movable handle such that movement of the movable handle between the initial and compressed positions effects longitudinal translation of the drive bar. The drive bar further includes a coupling member disposed at a distal end thereof. An end effector assembly includes first and second jaw members movable between spaced-apart and approximated positions. Each jaw member defines a cam slot. A cam pin is slidably disposed within the cam slot of each of the jaw members. The coupling member is configured to releasably engage the cam pin such that movement of the movable handle between the initial position and the compressed position effects movement of the jaw members between the spaced-apart position and the approximated position.

Abstract: A surgical instrument is disclosed herein. The surgical instrument comprises a housing, a first actuation member, a second actuation member, and a first cannula. The first actuation member is configured for imparting a reciprocating action to a portion of the instrument. The second actuation member configured for imparting a rotational action to a portion of the instrument. The first cannula is operatively connected to the second actuation member, such that the first cannula is configured for rotational movement with respect to the housing. In one arrangement, a wire member is disposed within the first cannula and is configured to rotate with the first cannula.

Abstract: A forceps includes an end effector assembly having first and second jaw members movable relative to one another between a spaced-apart position, a first approximated position, and a second approximated position. One or both of the jaw members including a first stop member coupled thereto and disposed between the jaw members. The first stop member is longitudinally translatable along a surface of the at least one jaw member from a first position, wherein the first stop member inhibits approximation of the jaw members beyond the first approximated position, and a second position, wherein the first stop member inhibits approximation of the jaw members beyond the second approximated position.

Abstract: Disclosed is a fixing and connecting apparatus with stress-dispersing capability for anterior superior spine and iliac crest, comprising: two side splints disposed opposite, which connects with each other at upper ends, with the shape of upper end at the inner wall of the two side splints coinciding with the shape of the upper surface of the anterior superior spine and iliac crest, and a cavity defined by the inner walls of the two side splints matching with the profile of the anterior superior spine and iliac crest; a fixing hole which is provided inclined downwards at upper part of at least one of the side splints with a diameter matching with the diameter of a kirschner pin; and a connecting structure which is provided at the upper part of any one of the side splints for connecting to a traction apparatus.

Abstract: Implants, instruments, and methods for connecting and/or stabilizing first and second bone portions relative to one another are presented including fasteners and retainers connectable in axial force transmitting relationship and instruments for their installation. In one example a guide is configured to clamp two bone portions together while a fastener is inserted through at least one of the bone portions to engage a retainer.

Abstract: A medical retrieval device of an embodiment of the present disclosure includes a proximal handle, a sheath, and a retrieval assembly. The sheath extends from the handle and includes a lumen and a distal end opposite the handle. The retrieval assembly is moveable relative to the sheath to achieve a collapsed position of the retrieval assembly within the lumen and an expanded position of the retrieval assembly when extended outside the lumen. The retrieval assembly includes a plurality of legs. At least one of the legs includes a wire having an inner core at least partially surrounded by an outer layer.

Abstract: A catheter inner assembly includes a receptacle with an interior contour configured to mate with a head and neck contour of a holding member of an implantable medical device; and a laterally facing opening of the receptacle has a profile matching a longitudinal profile of the head and neck. Thus, the opening allows only a properly oriented passage of the holding member therethrough, the passage being without deformation of holding member or opening. The inner assembly further includes a lock and release member useful for securing the device to the catheter, when the holding member has been passed through the receptacle's opening to mate with the receptacle's interior contour. The lock and release member may include an arcuate sidewall moveable between a first location, at which the sidewall overlays the laterally facing opening, and a second location, at which the sidewall is located proximal to the opening.

Abstract: A rasp tool for preparing an implantation site includes a first arm, a second arm, a first wing, and a second wing. The first arm and the second arm are pivotally connected to one another. The first wing extends from a distal end of the first arm and includes a sharp tip positioned at a distal end of the first wing and configured to ease insertion into the implantation site, and a cutout defined along a first side of the first wing. The second wing extends from a distal end of the second arm. The first wing and the second wing are configured to move between a closed position and an open position by pivoting the first arm and the second arm, and the second wing is received at least partially within the cutout when the first wing and the second wing are in the closed position.

Abstract: A vascular prosthesis deployment device and related methods are disclosed. In some embodiments the deployment device may provide audible, tactile, or visual feedback to a practitioner as to the degree of deployment of a prosthesis. The deployment device may also provide mechanical advantage when deploying a prosthesis. The deployment device may be configured to incrementally deploy a prosthesis.

Abstract: An end effector assembly for an electrosurgical device includes first and second jaw members movable between spaced-apart and approximated positions. The jaw members define opposed tissue-contacting surfaces that cooperate to define a tissue grasping area within which tissue is grasped when the jaw members are moved to the approximated position. At least one of the jaw members includes an interior electrode and at least one of the jaw members includes first and second exterior electrodes. The interior and exterior electrodes are configured to conduct energy through tissue grasped within the tissue grasping area to seal tissue. The interior electrodes are disposed interiorly of outer bounds of the tissue grasping area, while the exterior electrodes are disposed exteriorly. As a result, upon conduction of energy through tissue grasped within the tissue grasping area, tissue disposed adjacent the exterior electrodes is boiled before boiling of tissue disposed adjacent the interior electrodes.

Abstract: Vascular delivery systems configured to deliver an implant to a location within a vasculature can include one or more control wires controllable by a user to detach the implant from the delivery system. Control wires can cause a feature of the delivery system to mechanically engage a hub at a proximal end of an implant. Proximal or distal movement of the control wire can allow the feature to disengage from the hub, thereby allowing release of the implant.

Abstract: A device for gripping tissue that is inside of a patient for use in delivering therapy is provided. The device may include a first gear that rotates and that engages the tissue. A second gear that also rotates may be included and may likewise engage the tissue. A spacing mechanism may be included in the device that adjusts the spacing between the first and second gears such that the first and second gears are moved closer to one another and moved farther from one another.

Abstract: Membrane forceps for performing an ILM or ERM peel procedure include a handle, a tube extending from the handle, and forceps jaws extending from the tube. The forceps jaws may be configured to grasp an ILM or ERM, and may include an outer surface having a roughened surface. The roughened surface may be structurally configured to aid in gaining an edge of the ILM or ERM.

Abstract: A needle driver includes a first elongated body that defines an interior chamber. A second elongated body defines an interior space, and is slideable within the interior chamber defined by the first elongated body between a retracted position and an extended position. The needle driver also includes a clamping device having a clamping end and a connecting member, which is affixed to the first elongated body and coupled within the clamping end. A biasing shaft is slideably disposed within the interior space defined by the second elongated body. An actuator is affixed to the biasing shaft and is slideable in a proximal direction and a distal direction.

Abstract: A suturing instrument includes a suturing head that is coupled to the shaft of an elongate body member of the instrument by a connector member which may be biased in either a linear orientation along the longitudinal axis of the shaft or any one of a variety of non-linear orientations with respect to the shaft's longitudinal axis. The connector member can comprise a resilient material such that an external force may be applied to the suturing head and move the suturing head from a biased orientation (e.g., linear) to an unbiased orientation (e.g., non-linear). Once the external force is removed, the resiliency of the connector member allows the suturing head to return from the unbiased orientation to the biased orientation. Therefore, a user may adjust the shape of the instrument by applying or removing an external force on the suturing head.

Abstract: A medical instrument effectively suppresses a situation in which the edge of a blade springs immediately after completion of incision, excision, or the like.

Abstract: A steerable laser probe may include a handle, an actuation structure having an actuation structure distal end and an actuation structure proximal end, a flexible housing tube, and an optic fiber disposed within an inner bore of the handle and the flexible housing tube. An extension of the actuation structure distal end relative to the actuation structure proximal end may be configured to gradually curve the flexible housing tube and the optic fiber. A retraction of the actuation structure distal end relative to the actuation structure proximal end may be configured to gradually straighten the flexible housing tube and the optic fiber.

Abstract: A medical gripping tool includes a synthetic body and a metallic layer on a surface of the synthetic body, whereby the synthetic body is configured to be elastically reshaped in its expected application. According to the invention, the gripping tool is configured so that the metallic layer is structurally reshaped in the expected application.